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Phone 613-825-7838 / Fax 613-823-9055

info@cottagesforrentontario.com

Instructions

Step 1. Email printed form (Print to File) or Telephone and make reservation.Step 2. Fill in the booking Application Form below.Step 3. Print the Application to Hard Copy or File.Step 4. Sign the Application if faxed.Step 5. Fax / Email Application. (fax # and address appear at bottom of application).

Application FormPrivacy Policy - We do not release, sell, rent or distribute the
information collected. All information collected is for our internal
screening purposes only.No unencrypted information needs to be sent over the Internet, you can print the
completed application form and fax / mail / email it to us. If mailed or faxed it must be signed

* Required Information
(Booking applications without this information will not be processed.)

Check-in Date:
*

Check-out Date:
*

Bunkhouse Option

Name of Applicant 1:
*

Name of Applicant 2:

Name of any other Applicant:

Address:
*

Phone: (home)
*

Phone: (work)

Phone: (cell)

E-mail Addresses

Pets:
(please specify, age, breed and weight.)
*

Licence Plate Nos. #
*

Make and Colour of Vehicles
*

Maximum # of cars at the cottage
during Rental period.
*

Names of ALL Adults &
Children Occupying the AccommodationAges are helpful, but not required.For security reasons,
list visitors cars licence numbers and boats in the box below.*
Maximum accomodation, without special arrangements with the lessor, is six. Four persons in the cottage and two persons in the bunki!

Number of people staying at the cottage including all adults and children. There is no charge for babes-in-arms.
*

Booking Information 2017

(All amounts shown are in Canadian dollars)

Basic rent for the cottage for the period for 4 or less. Charge includes exclusive parking, dock, patios, paddleboat with lifejackets, canoe, rowboat, BBQ on deck and at waterside, and private access to 3 acres of meadow and cottage lot.

Extra charge: garbage in bags/can or bottles left behind at departure. Thur AM pickup of garbage by locals is no charge.

Total Rent for period (due one month prior to arrival)

Plus: Booking Deposit ($250.00 Cdn for cottage).
Due within 3-5 days of booking to secure reservation.
Held as a security deposit and returned as $200 in the post unless a portion is needed to cover
damage by the guest, long distance phone charges or to cover the Cancellation fee. The $50 is deducted for administrative fee. Date deposit cheque for date of the application.

Total Amount Owed in Cdn Funds

Enclosed: I enclose cheque / money order for
Booking Deposit(if making application
more than 30 days prior to the rental period).Total Amount Owed
(if making application within 30 days of the start of rental period). For foreign currency transactions, any unpaid amounts owed or refunds paid will reflect the current rate of exchange and currency exchange charges at the time of payment.

Cancellation fee per rental period
(applicable only in last 45 days)

$200

Agreement
The signee(s) ACKNOWLEDGE AND CONFIRM THAT I (we) HAVE READ AND
AGREE TO ALL CONDITIONS ON THIS APPLICATION. I acknowledge and agree
that this application upon receiving confirmation of acceptance, shall
be a binding contract in force between the signee(s) below and the cottage owner.
The signee(s) agrees(agree) that I(we) will be responsible for any damages caused by the signee(s) below or
anyone in my(our) party to property or persons. The signee(s) agrees(agrees) that I(we) will keep the
rental cottage and all furniture, chattels, fittings and effects in or about
the rental cottage in the same state of repair and condition as at the
commencement of the cottage rental and SHALL LEAVE THE COTTAGE IN THE
SAME STATE OF CLEANLINESS AND GENERAL ORDER IN WHICH IT WAS FOUND OR
THE CURRENT MINIMUM HOUSEKEEPING CHARGE WILL BE DEDUCTED FROM THE BOOKING
DEPOSIT. The signee(s) agrees(agree) to remove all garbage (including bottles) to the
disposal hut. The signee(s) agree to indemnify and save harmless the cottage owner
from any claims during or arising from my(our) use of the Burridge Lake Cottage referred to in this application.

APPLICATION MUST BE SIGNED FOR ACCEPTANCE AND
DEPOSIT MUST BE RECEIVED FOR ONE'S WEEK TO BE RESERVED.

____________________________ AND ______________________
Signatures

___________________________________Date

Once completed, print, sign and fax
or scan and attach in an email to info@cottagesforrentontario.com
FAX: 613-823-9055